Individual
REAGAN JANE QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPCC
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 979-7531
Mailing address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 979-7531
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
499-1-1-04-155
ND
101YP2500X
Professional Counselor
Primary
CC00175
MN
Other
Enumeration date
07/27/2009
Last updated
08/24/2015
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